Online Registration Form
This application form is applicable for Non PRC Identity Card Holder.
One form for one person. Incompleted form will not be processed. The Organizer reserves the right to change the content of the conference program without prior notice.
Mandatory fields are marked with *
First Name:
* Last Name * Mr/ Ms/ Mrs
Job Title:
*
Department:
Company:
Address:
Province/City:
Country:
ZIP/Postal Code:
Tel:
Fax:
Email:
Ticket Price
Pre-Register and Pay on or before April 30, 2006
Register on-site
Full Conference Pass
USD500
USD600
* Full Pass includes attendance to all sessions and exhibition area, show directory, lunch. Admittance will only be permitted upon receipt of full payment.
Below questions must be completed to process your registration. Please select the appropriate option.
1. Company / Industry Description (Check one only)
01 Integrated Communications Provider 02 ASP / ISP / Web Hosting / Video-Conferencing 03 Cable Television Operator / Broadcasting 04 Carrier 05 Wireless / Mobile Carrier 06 Satellite Service Operator 07 Carrier Value-added Services Provider 08 Public Utility / Power Grid Operator 09 Network Service Provider / Gigabit Ethernet Operator 10 Competitive Access Provider / CLEC / Data LEC (DLEC) 11 Content Developer / Content Provider 12 Equipment Manufacturer 13 Hardware / Software Development 14 Education / Research 15 Financial / Investment 16 Government / Military / Regulatory 17 Legal Services 18 Consulting Firm 19 Engineering 20 Dealer / Distributor / Agent 21 VAR 22 Association 23 Other(Please specify)
Please specify:
2. Primary Job Function (Check one only)
01 Corporate Management 02 Management 03 MIS / Network / System Management 04 Product Management 05 Engineering / Technical 06 Internet Services / Web Design & Development 07 Hardware / Software / Content Development 08 Sales / Marketing / Business Development / Public Relation 09 Consulting 10 Accounting / Billing / Financial Services 11 Education / Researching 12 Industry Analyst 13 Investment Banking / Venture Capital 14 Legal/Regulatory 15 Other(Please specify)
3. COMPANY SIZE
01 Less Than 50 02 Less Than 100 03 Less Than 500 04 Less Than 1000 05 More Than 1000
4. Topic of Interests and Purpose of Attending (Check all that apply)
01 Access Solutions 02 Broadband Networks / Intelligent Networks / Optical Networking 03 DSL Technology / Services 04 IP Network Services 05 Video / Set-Top Box 06 LMDS / MMDS / Microwave 07 Multimedia Applications 08 Network Security / Management / Services 09 Content / Content Protection 10 Customer Care / Billing / Enhanced Services 11 Bandwidth on Demand Services 12 Other(Please specify)
5. Obtained Show Information From
01 Direct Mail 02 Newspaper(Please specify) 03 Magazine(Please specify) 04 Colleague/Vendor 05 Internet 06 Email 07 Other(Please specify) Please specify:
Payment
Bank Transfer
Please pay to:
World Services Ltd.,
HSBC, 401 Pacific Place Branch II, 88 Queensway, Hong Kong.
A/C No: 593 141138 838.
Bank charges are to be deducted from the participating organisations' own account and the full fee must be received by the organizer.
Please notify Maggie Li at maggie.li@infoexws.com of transfer in order for the proper credits to be applied.
Cheque/Bank Draft
Please mail with the registration form to World Services Ltd., Room 202, Tesbury Center, 28 Queen¡¯s Road East, Hong Kong.
Payable to: World Services Ltd.
Please check your information carefully before submitting the form.
Copyright© 2006, InfoEX-World Services Ltd. All rights reserved.